Abstract:
BACKGROUND:Dementia is a major cause of disability and dependency in older adults worldwide. It is often accompanied by general psychological distress, such as depression and anxiety symptoms, among caregivers of people with dementia (PwD). The physical and mental health of the caregiver is a prerequisite and a promise to help PwD continue to live as long and as well as possible. Web-based interventions can provide convenient and efficient support and an education tool to potentially reduce the negative outcomes associated with providing care. OBJECTIVE:The aim of this study was to examine the effect of internet-based interventions on the mental health outcomes of family caregivers of PwD and to explore which components of the Web-based interventions play an important role. METHODS:A comprehensive literature search was conducted in PubMed, Excerpta Medica dataBASE, PsycINFO, Cochrane Database, and the Cumulative Index to Nursing and Allied Health Literature using relevant terms such as Web-based and caregiver as keywords, covering all studies published before June 2018. A total of 2 reviewers independently reviewed all published abstracts, according to established inclusion and exclusion criteria. We extracted information about the participants, interventions, and results and reviewed article quality in terms of the randomized trial methods, using the approach recommended by the Cochrane Handbook for Systematic Reviews of Interventions. RESULTS:A total of 815 caregivers participated in 6 studies, with 4 of the studies using depression as an outcome. The analysis found that depression scores dropped an average of 0.23 (95% CI -0.38 to -0.07; P<.01) after Web-based interventions. In 2 studies of caregivers who were experiencing anxiety symptoms, the average score for anxiety dropped by 0.32 points (95% CI -0.50 to -0.14; P<.01). However, in terms of coping, pain, and stress, the Web-based interventions showed a poor effect. On the whole, the addition of professional psychological support on the basis of education can improve caregivers' mental health. CONCLUSIONS:Internet-based interventions were generally effective at reducing anxiety and depression in dementia caregivers, although negative results were found in some studies. As for burden and stress, further research is required.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Zhao Y,Feng H,Hu M,Hu H,Li H,Ning H,Chen H,Liao L,Peng Ldoi
10.2196/13415subject
Has Abstractpub_date
2019-05-06 00:00:00pages
e13415issue
5eissn
1439-4456issn
1438-8871pii
v21i5e13415journal_volume
21pub_type
杂志文章,meta分析,评审abstract:BACKGROUND:Since their inception, virtual patients have provided health care educators with a way to engage learners in an experience simulating the clinician's environment without danger to learners and patients. This has led this learning modality to be accepted as an essential component of medical education. With th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3343
更新日期:2014-06-13 00:00:00
abstract:BACKGROUND:Systems incorporating virtual agents can play a major role in electronic-mental (e-mental) health care, as barriers to care still prevent some patients from receiving the help they need. To properly assist the users of these systems, a virtual agent needs to promote motivation. This can be done by offering m...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9240
更新日期:2019-03-27 00:00:00
abstract:BACKGROUND:With the advancement of technology, more countries are now adopting the use of electronic product information (ePI), which refer to an electronic version of physical product inserts in a semistructured format optimized for electronic manipulation. The successful implementation of ePI has led to advantages an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20765
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:Digital tools provide a unique opportunity to increase access to eye care. We developed a Web-based test that measures visual acuity and both spherical and cylindrical refractive errors. This test is Conformité Européenne marked and available on the Easee website. The purpose of this study was to compare the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14808
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:The Internet offers a great amount of health related websites, but concern has been raised about their reliability. Several subjective evaluation criteria and websites rating systems have been proposed as a help for the Internet users to distinguish among web resources with different quality, but their effic...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1.1.e1
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:The outbreak of COVID-19 has profoundly influenced people's lifestyles; these impacts have varied across subgroups of people. The pandemic-related impacts on the health outcomes of people with dermatological conditions are unknown. OBJECTIVE:The aim of this paper was to study the association of COVID-19 pan...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22288
更新日期:2020-09-11 00:00:00
abstract:BACKGROUND:Effective lifestyle interventions targeting high-risk adults that are both practical for use in ambulatory care settings and scalable at a population management level are needed. OBJECTIVE:Our aim was to examine the potential effectiveness, feasibility, and acceptability of delivering an evidence-based Elec...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.5143
更新日期:2016-05-27 00:00:00
abstract:BACKGROUND:Patient portals are a promising instrument to improve patient-centered care, as they provide patients information and tools that can help them better manage their health. The implementation of portals in both the inpatient and outpatient setting gives health care providers an opportunity to support patients ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/13126
更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:The field of gene therapy is rapidly evolving, and while hopes of treating disorders of the central nervous system and ethical concerns have been articulated within the academic community, little is known about views and opinions of different stakeholder groups. OBJECTIVE:To address this gap, we utilized so...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2313
更新日期:2013-03-04 00:00:00
abstract:BACKGROUND:Nowadays, digital self-tracking devices offer a plethora of possibilities to both healthy and chronically ill users who want to closely examine their body. This study suggests that self-tracking in a private setting will lead to shifting understandings in professional care. To provide more insight into these...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.8040
更新日期:2018-01-12 00:00:00
abstract:BACKGROUND:The Internet is a significant source of medical information and is now being shown to be an important conduit for delivering various health-related interventions. OBJECTIVE:This paper aimed to examine the utility and impact of an Internet intervention for childhood encopresis as part of standard medical car...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1081
更新日期:2008-06-30 00:00:00
abstract:BACKGROUND:The ability to perform vape tricks (ie, blowing large vapor clouds or shapes like rings) using e-cigarettes appeals to youth. Vape tricks are promoted on social media, but the promotion of vape tricks on social media is not well understood. OBJECTIVE:The aim of this study was to examine how vape tricks were...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12709
更新日期:2019-06-18 00:00:00
abstract:BACKGROUND:Digital health can empower citizens to manage their health and address health care system problems including poor access, uncoordinated care and increasing costs. Digital health interventions are typically complex interventions. Therefore, evaluations present methodological challenges. OBJECTIVE:The objecti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10202
更新日期:2018-06-07 00:00:00
abstract:BACKGROUND:Personally controlled health management systems (PCHMS), which include a personal health record (PHR), health management tools, and consumer resources, represent the next stage in consumer eHealth systems. It is still unclear, however, what features contribute to an engaging and efficacious PCHMS. OBJECTIVE...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2414
更新日期:2013-05-06 00:00:00
abstract:BACKGROUND:Approximately half of American adults do not meet recommended physical activity guidelines. Face-to-face lifestyle interventions improve health outcomes but are unlikely to yield population-level improvements because they can be difficult to disseminate, expensive to maintain, and inconvenient for the recipi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.1338
更新日期:2010-12-17 00:00:00
abstract:BACKGROUND:Health literacy research seems to lack a consensus on what aspects to include into literacy in the context of health and on how to operationalize these concepts for measurement purposes. In addition to health literacy, several other concepts, such as electronic health (eHealth) literacy and mental health lit...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10273
更新日期:2018-12-19 00:00:00
abstract:BACKGROUND:The COVID-19 outbreak has affected the lives of millions of people by causing a dramatic impact on several healthcare systems and the global economy. This devastating pandemic has brought communities across the globe to work on this issue in an unprecedented manner. OBJECTIVE:This case study describes the s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/25283
更新日期:2021-01-16 00:00:00
abstract:BACKGROUND:Intimate partner violence (IPV) is a major public health concern. eHealth interventions may reduce exposure to violence and health-related consequences as the technology provides a safe and flexible space for the target population. However, the evidence is unclear. OBJECTIVE:The goal of the review is to exa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/22361
更新日期:2020-12-11 00:00:00
abstract:BACKGROUND:The Librarian Infobutton Tailoring Environment (LITE) is a Web-based knowledge capture, management, and configuration tool with which users can build profiles used by OpenInfobutton, an open source infobutton manager, to provide electronic health record users with context-relevant links to online knowledge r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4281
更新日期:2015-11-30 00:00:00
abstract:BACKGROUND:Social networking services (SNSs) contain abundant information about the feelings, thoughts, interests, and patterns of behavior of adolescents that can be obtained by analyzing SNS postings. An ontology that expresses the shared concepts and their relationships in a specific field could be used as a semanti...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7452
更新日期:2017-07-24 00:00:00
abstract:BACKGROUND:This is a methodological study investigating the online responses to a national debate over an important health and social problem in Russia. Russia is the largest Internet market in Europe, exceeding Germany in the absolute number of users. However, Russia is unusual in that the main search provider is not ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2270
更新日期:2012-12-13 00:00:00
abstract:BACKGROUND:Given the recognized importance of preventing poor dietary behaviors during adolescence, we need a better understanding of college students' dietary behaviors. Studies have found that individual factors and electronic health (eHealth) literacy may affect one's dietary behaviors. However, few studies have ful...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13140
更新日期:2019-11-26 00:00:00
abstract:BACKGROUND:Patients suffering from depression have a high risk of relapse and readmission in the weeks following discharge from inpatient wards. Electronic self-monitoring systems that offer patient-communication features are now available to offer daily support to patients, but the usability, acceptability, and adhere...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6673
更新日期:2017-04-21 00:00:00
abstract:BACKGROUND:Information and communication technologies (ICT) are key to optimizing the outcomes of the Chronic Care Model (CCM), currently acknowledged as the best synthesis of available evidence for chronic illness prevention and management. At the same time, CCM can offer a needed framework for increasing the relevanc...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3547
更新日期:2015-02-06 00:00:00
abstract:BACKGROUND:Attending to the wide range of communication behaviors that convey empathy is an important but often underemphasized concept to reduce errors in care, improve patient satisfaction, and improve cancer patient outcomes. A virtual human (VH)-based simulation, MPathic-VR, was developed to train health care provi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15459
更新日期:2019-11-27 00:00:00
abstract:BACKGROUND:Men continue to smoke in greater numbers than women; however, few interventions have been developed and tested to support men's cessation. Men tend to rely on quitting strategies associated with stereotypical manliness, such as willpower, stoicism, and independence, but they may lack the self-efficacy skills...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4491
更新日期:2015-08-10 00:00:00
abstract:BACKGROUND:The majority of workers, regardless of age or occupational status, report engaging in personal Internet use in the workplace. There is little understanding of the impact that personal Internet use may have on patient care in acute clinical settings. OBJECTIVE:The objective of this study was to investigate t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2421
更新日期:2013-05-17 00:00:00
abstract:BACKGROUND:The death toll of COVID-19 topped 170,000 in Europe by the end of May 2020. COVID-19 has caused an immense psychological burden on the population, especially among doctors and nurses who are faced with high infection risks and increased workload. OBJECTIVE:The aim of this study was to compare the mental hea...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24983
更新日期:2021-01-18 00:00:00
abstract::The ongoing coronavirus disease outbreak demonstrates the need for novel applications of real-time data to produce timely information about incident cases. Using health information technology (HIT) and real-world data, we sought to produce an interface that could, in near real time, identify patients presenting with s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18707
更新日期:2020-05-28 00:00:00
abstract:BACKGROUND:Most patients with diabetes mellitus (DM) are followed by primary care physicians, who often lack knowledge or confidence to prescribe insulin properly. This contributes to clinical inertia and poor glycemic control. Effectiveness of traditional continuing medical education (CME) to solve that is limited, so...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6944
更新日期:2017-03-09 00:00:00